Hari Selasa-Jumat

Tanggal 09/10/2018 s.d 12/10/2018

Jumlah Pendaftar 30 WUS
Anemia 10 WUS
Lokasi 1 Pelayanan Manimeri
No Nama Umur (tahun) Alamat
423 Winda 15 SMPN 1 / Kampung Lama
425 Indah Lestari 16 SMPN 1 / Kali Kodok
426 Nur Yasini 16 SMPN 1/Jl.Pelipus B
427 Hataviya Iribaram 18 SMPN 1/Tahit
428 Nur Hidayah 15 SMPN 1/ Pasar Central
429 Hawiya Iribaram 16 SMPN 1/Tahit
430 Dolviana Siyoho 18 SMPN 1/Pant Asuhan
435 Risnawat 27 SMPN 1 Bintuni/ Tahit
 Kadar Hb (g/dL) no.HP Kode Sampel Tgl Visit 1 Grup visit
10.6 BIN156 10/30/2018 11
10.6 BIN157 10/30/2018 11
6.7 BIN158 10/30/2018 11
10.4 BIN159 10/30/2018 11
10.9 BIN160 10/30/2018 11
10.9 BIN161 10/30/2018 11
10.8 BIN162 10/30/2018 11
9.2 BIN163 10/30/2018 11
Tgl visit 2
1.Lokasi 2. Kode 3. USIA 4. ETNIK 5. GAYA HIDUP 6. HAMIL 7. STATUS
SP4-Jalur 3 MAN001 5 2 1 3 1
Atbo MAN002 2 2 3 5 1
Atbo MAN003 1 2 3 2 2
Pasaima MAN004 4 2 3 3 3
Pasaima MAN005 6 2 3 3 3
Pasaima MAN006 1 2 3 1 1
Pasaima MAN007 3 2 4 3 3
Atbo MAN008 1 2 1 1 1
Atbo MAN009 7 2 3 3 3
Atbo MAN010 2 2 1 1 3
Hokut MAN011 2 1 1 2 3
Hokut MAN012 2 1 1 2 3
Rosib MAN013 2 2 4 2 3
Rosib MAN014 2 2 4 2 3
Rosib MAN015 5 1 1 2 3
Beimes MAN016 3 2 1 2 3
Rosib MAN017 4 1 1 3 3
Idut MAN018 1 2 1 1 2
Iguriji 2 MAN019 2 2 3 2 3
Beimes MAN020 1 2 3 2 3
SMKN 1 /SP5 MAN021 1 2 1 1 1
SMKN 1/SP1-Jalur 4 MAN022 1 1 1 1 1
SMKN 1 / Tahit Sundoro MAN023 1 1 1 1 1
SMKN 1/ SP5-Jalur 4 MAN024 1 2 1 1 1
SMKN 1 / Kampung Lama MAN025 1 1 1 1 1
SMKN 1 / Tahit MAN026 1 2 1 1 1
SMKN 1 / Bintuni Komp. Pensiun MAN027 1 2 3 1 1
SMKN 1/SP2-Jalur 7 MAN028 1 1 1 1 1
SMKN 1/SP3-Jalur 3 MAN029 1 2 1 1 1
SMKN 1/SP3-Kamp.Horna Baru MAN030 1 2 3 1 1
SMKN 1/ Bintuni KM-2 MAN031 1 2 3 1 1
SMKN 1/ Tinanteri-Muturi MAN032 1 2 1 1 1
SMKN 1/ Bintuni KM-2 MAN033 1 2 3 1 1
Iguriji 1 MAN034 2 2 1 3 3
Iguriji 1 MAN035 4 2 1 2 3
Iguriji 1 MAN036 3 2 1 2 3
Teluhwer MAN037 1 2 1 1 1
Teluhwer MAN038 1 2 1 1 1
Teluhwer MAN039 1 2 3 1 1
SMKN 1 / SP 5-Jalur 3 MAN040 1 1 1 1 1
SMKN 1 / Tisai MAN041 1 2 1 1 1
SP1-Jalur 7 / Waraitama MAN042 2 2 3 2 3
SP1-Jalur 3/Waraitama MAN043 6 2 3 1 2
Iguriji 2 MAN044 2 2 3 2 3
Iguriji 2 MAN045 7 1 1 2 3
Iguriji 2 MAN046 4 1 3 2 3
Iguriji 2 MAN047 4 1 1 2 3
SP 5 /Tuasai MAN048 2 2 3 1 1
SP 5 / Tuasai MAN049 4 2 3 2 3
SP 5 / Tuasai MAN050 4 2 3 2 3
Kampung Nelayan BIN051 2 1 1 3 3
KM 5-Gang 3 BIN052 2 1 1 3 3
SMAK/ KM 2-Samping Poli Misi BIN053 1 2 3 1 1
SMAK/ Asrama Putri KM 2 BIN054 1 2 3 1 1
SMAK / Sibena Raya BIN055 1 1 1 1 1
SMAK/ Tahit-jln masuk Bengkel BIN056 1 2 3 1 1
SMAK/Belakang Polsek BIN057 1 1 2 1 1
SMAK St.Arnoldus Jansen BIN058 1 2 3 1 1
SMAK / KM 4 BIN059 1 2 3 1 1
SMAK / KM 2 Depot Sartka BIN060 1 1 1 1 1
SMAK / KM 2 Asrama Putri BIN061 1 1 1 1 1
SMAK / KM 2 Asrama Putri BIN062 1 2 3 1 1
SMAK St.Arnoldus Jansen/KM 4 BIN063 1 1 1 1 1
SMAK / KM 2 Jalur Masuk Ke 1 BIN064 1 2 3 1 1
SMAK / KM 2 Jalur Masuk Ke 1 BIN065 3 1 1 1 3
SMAK / Wesiri KM 5 BIN066 5 1 1 2 3
SMAN 1 / KM 5 BIN067 1 2 3 1 1
SMAN 1/Kam.Pamong Praja BIN068 1 2 3 1 1
SMAN 1/Komp. Pensiunan BIN069 1 2 3 1 1
SMAN 1/Komp.Pamong Praja BIN070 1 2 3 1 1
SMAN 1/ KM 4 blkg hotel stengkol BIN071 1 2 3 1 1
SMAN 1 /Tahit BIN072 1 1 1 1 1
SMAN 1 /Tahit BIN073 1 1 1 1 1
SMAN 1 /Komp. Nusantara BIN074 1 1 1 1 1
SMAN 1/ KM 4 BIN075 1 1 1 1 1
SMAN 1/Kali Kodok BIN076 1 1 1 1 1
SMAN 1/ KM 5 BIN077 1 1 1 1 1
SMAN 1/ Kamp. Lama BIN078 1 1 1 1 1
SMAN 1/ Bina Desa BIN079 1 1 1 1 1
SMAN 1/ Pasar Sentral BIN080 1 1 1 1 1
SMAN 1/ Masuy BIN081 1 2 3 1 1
SMAN 1/ Aspol BIN082 1 2 3 1 1
SMAN 1/ KM 4 BIN083 1 2 3 1 1
SMAN 1/ ASPOL BIN084 1 2 3 1 1
SMAN 1/ Tahit BIN085 1 2 3 1 1
SMAN 1/ KM 4 BIN086 1 2 3 1 1
SMAN San/ GOR BIN087 1 2 3 1 1
SMAN San / Awarepi BIN088 1 2 3 1 1
SMAN San/Kampung Lama BIN089 1 2 3 1 1
SMAN San/ Kali kodok BIN090 5 1 1 1 3
SMAN San/ Binadesa jl. SMA YPPK BIN091 1 2 3 1 1
SMAN San / KPPD BIN092 1 2 3 1 1
SMAN San/ Awarepi BIN093 1 2 3 1 1
SMAN San/KPPD BIN094 1 2 3 1 1
SMAN San/Kampung Lama BIN095 1 2 3 1 1
SMP St.Monica/KM 2 BIN096 1 2 3 1 1
SMP St.Monica/KM 2 BIN097 1 2 1 1 1
SMP St.Monica/KM 2 BIN098 1 2 1 1 1
SMP St.Monica/KM 5 BIN099 1 2 3 1 1
SMP St. Monica / KM 5 BIN100 1 2 3 1 1
Kaitaro-Sara/SMPN 1 KAI101 1 2 3 1 1
Kaitaro-Sara/SMPN 1 KAI102 1 2 3 1 1
Kaitaro/Bidan Mama Bial KAI103 3 1 1 2 3
Kaitaro/Bumil KAI104 4 2 3 3 3
Kaitaro-Sara KAI105 4 2 3 3 3
Kaitaro-Furere KAI106 6 2 3 2 3
Kaitaro/SMAN 1 KAI107 1 2 3 1 1
Kaitaro/SMAN 1 KAI108 1 2 3 1 1
Kaitaro/SMAN 1 KAI109 1 2 3 1 1
Kaitaro/SMAN 1 KAI110 2 2 3 1 1
Kaitaro-Sara KAI111 6 2 1 2 3
Kaitaro-Sara KAI112 4 2 3 1 3
Aranday/PusKes Tomu/Kamp.Adur ARA113 2 2 3 1 1
Aranday/Wanagir ARA114 4 2 3 2 3
Aranday/Wanagir ARA115 4 2 3 3 3
Aranday/TOMU ARA116 1 2 3 1 1
Aranday/Wanagir ARA117 7 1 3 2 3
Aranday/Wanagir ARA118 2 1 1 2 3
Aranday/Wanagir ARA119 4 2 3 2 3
Aranday/TOMU ARA120 4 2 2 1 3
Aranday/Ekam ARA121 2 1 1 2 3
Aranday/TOMU ARA122 2 2 3 2 3
Kampung Tembuni TEM123 5 2 4 2 2
Kampung Tembuni TEM124 3 2 3 2 3
Kampung Tembuni TEM125 5 2 1 2 3
Kampung Tembuni TEM126 5 2 4 2 3
Kampung Tembuni TEM127 4 2 3 2 3
Kampung Tembuni TEM128 2 2 3 2 3
Kampung Tembuni TEM129 5 2 4 2 3
Kampung Yakora MEY130 3 2 3 2 3
Meyado MEY131 2 2 3 2 3
Meyado MEY132 1 2 3 2 3
Meyado MEY133 4 1 3 2 3
Meyado MEY134 4 2 3 2 3
Meyado MEY135 1 2 3 1 1
Meyado MEY136 1 2 3 1 1
Meyado MEY137 1 2 3 1 1
Meyado MEY138 5 2 3 2 3
Meyado MEY139 3 1 1 2 3
Meyado MEY140 5 1 1 2 3
Meyado MEY141 5 1 1 2 3
Meyado MEY142 4 2 3 1 3
Meyado MEY143 4 2 3 2 3
Meyado MEY144 7 1 1 2 3
Meyado MEY145 3 1 1 3 3
Meyado MEY146 1 1 4 1 1
Meyado MEY147 1 2 3 1 1
Meyado MEY148 2 2 3 2 3
Kampung Tembuni TEM149 7 2 3 2 3
Kampung Tembuni TEM150 2 2 3 1 1
Kampung Tembuni TEM151 1 2 3 1 1
Kampung Tembuni TEM152 1 2 3 1 1
Kampung Tembuni TEM153 2 1 1 1 1
Kampung Tembuni TEM154 3 2 3 2 3
Kampung Tembuni TEM155 4 2 1 2 3
SMPN 1/Kampung Lama BIN156 1 1 1 1 1
SMPN 1/Kali Kodok BIN157 1 1 1 1 1
SMPN 1/Jl.Delipus Bau BIN158 1 2 3 1 1
SMPN 1/ Tahit BIN159 1 2 3 1 1
SMPN 1/ Pasar Central BIN160 1 1 1 1 1
SMPN 1/Tahit BIN161 1 2 3 1 1
SMPN 1/Pant Asuhan BIN162 1 2 3 1 1
SMPN 1/Jl.H.Siregar Tahit BIN163 3 1 1 1 1
8. ANAK 9.DWS SERUMAH 10. TEMPUH 11. PENDIDIKAN 12. KERJA 13. Penyakit 14. Jml TTD
3 2 1 4 1 1 3
2 2 1 4 1 1 3
1 2 1 2 6 1 2
4 2 1 2 1 2 3
4 2 1 4 1 1 3
1 2 1 2 5 1 2
2 2 1 2 1 2 3
1 2 1 1 6 1 1
3 2 1 2 1 2 2
1 2 1 1 1 5 3
2 2 1 4 1 2 2
2 2 1 4 1 2 3
3 2 1 3 2 2 3
3 2 1 2 1 1 3
3 2 1 4 1 1 3
2 3 1 3 1 1 3
2 3 1 5 1 2 3
1 2 1 4 6 2 1
3 2 1 3 1 2 2
2 2 1 4 1 1 3
1 2 1 3 5 1 2
1 2 1 3 5 1 2
1 3 1 3 5 2 2
1 2 1 3 5 1 2
1 2 1 3 5 1 2
1 2 1 3 5 1 2
1 3 1 3 5 1 2
1 2 1 3 5 1 2
1 2 1 3 5 1 2
1 2 1 3 5 2 2
1 2 1 3 5 1 2
1 2 1 3 5 2 1
1 2 1 3 5 1 1
3 2 1 2 1 1 3
2 2 1 1 1 1 3
3 2 1 4 2 1 3
1 3 1 2 5 1 2
1 3 1 3 5 2 2
1 3 1 3 5 1 2
1 2 1 3 5 1 2
1 3 1 3 5 1 2
3 2 1 2 1 1 3
1 3 1 4 1 5 2
4 2 1 2 1 1 3
4 3 1 4 1 4 3
3 2 1 4 1 1 3
3 2 1 4 1 1 3
1 2 1 3 5 1 2
3 2 1 4 1 2 3
2 2 1 3 2 4 3
3 2 1 3 1 1 3
3 2 1 4 1 2 2
1 2 1 3 5 1 1
1 1 1 3 5 1 1
1 1 1 3 5 2 2
1 3 1 3 5 2 2
1 3 1 3 5 1 1
1 3 1 3 5 5 2
1 2 1 3 5 2 1
1 2 1 3 5 1 2
1 1 1 3 5 4 1
1 1 1 3 5 1 2
1 2 1 3 5 4 1
1 1 1 5 5 2 1
1 1 1 4 3 1 2
3 1 2 5 3 1 2
1 3 1 3 5 3 2
1 2 1 3 5 5 1
1 2 1 3 5 4 1
1 2 1 3 5 4 1
1 2 1 3 5 1 2
1 3 1 3 5 1 1
1 2 1 3 5 1 1
1 2 1 3 5 1 1
1 3 1 3 5 1 1
1 2 1 3 5 1 2
1 3 1 3 5 1 1
1 1 1 3 5 1 1
1 2 1 3 5 1 1
1 2 1 3 5 1 1
1 3 1 3 5 5 1
1 2 1 3 5 2 1
1 2 1 3 5 2 1
1 3 1 3 5 2 1
1 2 1 3 5 1 2
1 2 1 3 5 1 1
1 3 1 3 5 4 2
1 2 1 3 5 1 2
1 3 1 3 5 2 1
1 1 1 5 4 1 2
1 2 1 3 5 1 2
1 1 1 3 5 5 1
1 3 1 3 5 1 2
1 2 1 3 5 2 2
1 3 1 3 5 2 2
1 3 1 2 5 1 1
1 2 1 2 5 1 2
1 1 1 2 5 1 2
1 1 1 2 5 1 2
1 3 1 2 5 1 1
1 3 1 2 5 1 2
1 3 1 2 5 1 2
3 3 1 5 4 1 3
3 1 1 4 1 1 3
4 2 1 4 1 1 3
4 3 2 2 1 2 2
1 1 1 3 5 1 2
1 2 1 3 5 1 2
1 2 1 3 5 1 2
1 2 1 3 5 1 2
4 2 1 3 1 1 3
1 2 1 5 1 5 2
1 3 1 1 6 1 1
3 3 1 2 1 1 4
3 3 1 4 1 1 4
1 3 2 3 5 5 3
1 2 1 4 3 1 1
2 3 1 3 1 1 4
4 3 1 2 1 1 3
1 2 2 2 1 1 2
2 3 2 4 1 2 4
3 3 2 1 1 1 4
4 2 1 2 2 1 2
3 2 1 1 2 1 2
4 3 1 1 1 2 2
4 2 1 1 2 2 2
4 2 1 1 2 1 2
2 2 1 4 1 1 2
4 3 1 1 2 1 2
3 3 3 2 1 1 1
2 2 1 5 3 2 1
2 2 1 4 1 2 1
3 4 1 4 1 5 3
3 3 1 4 1 5 3
1 3 1 2 5 5 1
1 2 1 3 5 5 1
1 3 1 2 5 1 1
3 2 1 2 1 2 1
3 3 1 3 1 2 3
4 2 1 3 1 2 3
2 3 1 2 1 1 1
1 2 1 4 4 5 1
4 3 1 2 1 1 1
4 2 1 2 1 2 2
1 2 1 5 3 1 3
1 3 1 3 5 2 1
1 2 1 3 5 2 1
2 2 1 1 1 2 3
2 3 1 1 2 1 3
1 3 1 4 6 2 2
1 3 1 3 5 2 2
1 2 1 3 5 2 2
1 1 1 5 4 2 1
3 2 1 4 1 2 1
4 3 1 1 1 2 3
1 2 1 2 5 1 1
1 2 1 2 5 3 1
1 3 1 2 5 1 2
1 3 1 2 5 1 2
1 2 1 2 5 1 2
1 3 1 2 5 2 1
1 3 1 2 5 1 2
1 3 1 5 3 2 2
15. Asal TTD 16. HB 17. Gol Darah 18. Tensi 19. BB 20. TB 21. LILA 22. Saksi
3 10.9 63.9 144 26.0 Intan/Yapima
3 7.6 A 46.5 22.5 Martna/Pustu
3 10.9 40.6 22.5 Martna/Pustu
3 10.9 110/60 >> >> Hamida/Pustu
3 8.4 O 100/70 53.8 154 24.0 Hamida/Pustu
3 8.9 41.8 Hamida/Pustu
3 8.9 O 98/83 65.0 145 28.0 Hamida/Pustu
4 7.7 47.0 150 Hamida/Pustu
3 10.8 100/70 77.0 153 35.0 Martna/Pustu
3 8.6 O 90/60 34.0 160 16.0 Martna/Pustu
3 10.6 B 90/50 38.0 160 21.0 Vina/Pustu
3 10.3 O 46.2 160 22.0 Vina/Pustu
3 7.0 O 140/80 66.2 150 26.0 Vina/Pustu
3 10.7 110/70 40.8 160 24.5 Vina/Pustu
3 10.4 B 110/70 40.0 145 25.5 Vina/Pustu
3 9.8 O 110/70 64.3 160 25.0 Vina/Pustu
3 10.4 O 123/80 58.6 152 27.5 Vina/Pustu
4 8.8 42.7 140 22.8 Martna/Pustu
3 5.5 47.7 140 22.2 Martna/Pustu
3 8.9 O 31.6 142 22.0 Vina/Pustu
3 10.9 43.3 145 24.0 Martna/Pustu
3 9.9 42.7 155 22.5 Martna/Pustu
3 10.7 O 46.4 140 23.5 Martna/Pustu
3 10.7 O 50.9 157 26.0 Martna/Pustu
3 10.8 46.4 142 23.5 Martna/Pustu
3 7.0 37.7 21.0 Martna/Pustu
3 7.5 54.1 155 26.5 Martna/Pustu
3 9.6 51.5 160 26.0 Martna/Pustu
3 10.6 51.2 152 27.0 Martna/Pustu
3 8.3 65.1 155 29.5 Martna/Pustu
3 9.3 O 47.1 150 25.5 Martna/Pustu
3 8.0 52.2 150 26.0 Martna/Pustu
3 9.4 A 54.9 150 27.5 Martna/Pustu
3 9.8 O 36.0 20.0 Hermayunita/Pustu
3 10.7 52.7 140 25.0 Hermayunita/Pustu
3 4.6 56.4 154 25.0 Hermayunita/Pustu
3 11.0 45.1 140 20.0 Hermayunita/Pustu
3 11.0 O 48.6 160 24.0 Hermayunita/Pustu
3 10.1 O 37.4 140 19.5 Hermayunita/Pustu
1 6.8 48.2 167 24.0 Martna/Pustu
3 9.0 O 54.0 155 25.5 Martna/Pustu
3 11.0 O 38.0 145 25.0 Martna/Pustu
3 3.4 O 52.0 147 23.5 Martna/Pustu
3 10.3 O 53.7 120 28.7 Martna/Pustu
3 10.3 52.3 26.0 Martna/Pustu
3 3.1 O 47.4 160 23.3 Martna/Pustu
3 9.9 O 67.4 149 27.5 Martna/Pustu
3 7.5 O 57.0 160 26.5 Martna/Pustu
3 5.6 B 62.7 160 30.0 Martna/Pustu
3 9.4 49.9 145 25.5 Martna/Pustu
3 9.4 O 45.0 145 25.5
3 9.4 50.0 160 22.0
4 9.4 47.0 150 25.0 Marike A/Puskes
4 8.7 53.0 155 26.5 Marike A/Puskes
3 8.3 O 48.0 160 24.5 Marike A/Puskes
3 9.5 38.0 140 32.0 Marike A/Puskes
1 9.2 50.0 145 25.0 Marike A/Puskes
2 10.9 O 50.0 165 23.5 Marike A/Puskes
1 9.8 49.0 22.5 Marike A/Puskes
2 8.2 O 54.0 165 24.0 Marike A/Puskes
4 8.9 O 44.0 156 22.5 Marike A/Puskes
2 8.8 B 50.0 150 25.0 Marike A/Puskes
4 10.3 47.0 24.0 Marike A/Puskes
4 9.9 48.0 156 27.0 Marike A/Puskes
1 8.7 B 45.0 155 24.0 Marike A/Puskes
1 10.8 B 50.0 150 27.5 Marike A/Puskes
3 7.9 43.5 160 22.0 Marike A/Puskes
4 9.7 50.0 155 24.0 Marike A/Puskes
4 7.0 46.2 150 24.5 Marike A/Puskes
4 6.9 O 47.0 152 26.5 Marike A/Puskes
2 6.8 41.3 140 22.0 Marike A/Puskes
4 7.9 O 45.2 145 24.0 Marike A/Puskes
4 8.5 AB 43.1 157 23.0 Marike A/Puskes
4 8.3 O 56.7 160 27.0 Marike A/Puskes
4 9.9 49.4 160 30.0 Marike A/Puskes
1 7.4 58.0 160 27.0 Marike A/Puskes
4 7.7 44.3 150 27.0 Marike A/Puskes
4 10.0 O 49.5 160 23.5 Marike A/Puskes
4 10.4 39.5 155 21.5 Marike A/Puskes
4 10.4 51.0 160 25.0 Marike A/Puskes
1 5.2 O 54.9 157 25.0 Marike A/Puskes
4 10.0 42.0 142 25.0 Marike A/Puskes
4 8.1 O 41.0 120 22.0 Marike A/Puskes
4 10.5 B 46.8 150 24.0 Marike A/Puskes
3 10.4 O 58.8 170 26.0 Marike A/Puskes
3 8.9 B 42.7 148 23.5 Marike A/Puskes
3 10.9 O 52.7 155 27.5 Marike A/Puskes
2 9.4 AB 63.3 26.0 Marike A/Puskes
4 9.7 40.9 22.0 Marike A/Puskes
1 9.4 A 52.0 29.0 Marike A/Puskes
2 9.5 52.7 158 25.5 Marike A/Puskes
4 4.4 44.1 145 23.0 Marike A/Puskes
2 6.7 45.2 152 26.0 Marike A/Puskes
3 5.9 48.4 154 24.0 Marike A/Puskes
2 5.0 50.1 150 25.0 Marike A/Puskes
4 8.4 40.0 140 21.0 Marike A/Puskes
2 10.7 48.0 150 24.5 Marike A/Puskes
2 8.0 O 40.0 160 21.0 Marike A/Puskes
1 9.0 52.0 140 26.0 Marike A/Puskes
4 8.1 45.0 153 21.5 Marike A/Puskes
3 10.7 101/55 42.0 150 26.0 Sr. Umi/Puskesmas
3 7.9 120/70 51.0 156 23.5 Sr. Umi/Puskesmas
3 10.7 110/70 43.0 158 23.0 Sr. Dilla/Puskesmas
3 9.7 A 100/70 74.3 160 27.4 Sr. Dilla/Puskesmas
3 9.7 90/60 65.0 160 27.0 Sr. Dilla/Puskesmas
3 8.0 100/80 54.4 146 25.0 Sr. Umi/Puskesmas
3 10.0 67.4 157 27.0 Sr. Dilla/Puskesmas
3 9.4 47.8 150 25.0 Sr. Dilla/Puskesmas
3 10.6 64.3 158 28.0 Ny.Stn Tatuta
3 10.6 52.4 154 27.0 Ny.Margaretha
3 9.2 45.7 155 26.0 Sr. Dilla/Puskesmas
3 6.8 55.0 153 26.0 Sr. Dilla/Puskesmas
4 7.1 104/73 43.1 21.0 Rita Susant/Puskesmas
3 10.2 120/80 63.4 26.0 Novhita Paembonan
3 6.9 88/61 42.0 21.5 Novhita Paembonan
3 10.6 97/64 39.0 142 20.0 Novhita Paembonan
4 5.2 130/78 76.9 30.4 Novhita Paembonan
3 10.0 112/71 27.0 152 27.0 Rita Susant/Puskesmas
3 9.9 140/81 66.5 145 30.4 Rita Susant/Puskesmas
3 10.2 O 120/81 61.2 150 27.0 Novhita Paembonan
3 8.0 B 135/75 68.4 27.5 Rita Susant/Puskesmas
3 8.1 132/100 69.8 160 25.0 Rita Susant/Puskesmas
3 8.9 33.7 139 22.3 Ratna Sari/Puskes Gizi
3 10.1 42.8 145 22.5 Tiara Tangke Allo
3 10.2 47.9 147 24.0 Siska
3 7.4 46.3 145 23.0 Tiara Tangke Allo
3 10.0 60.3 159 25.2 Tiara Tangke Allo
3 10.1 47.5 151 24.0 Tiara Tangke Allo
3 8.8 42.0 148 23.6 Ratna Sari/Puskes Gizi
4 10.2 56.2 160 Theresia D K
1 8.7 O 60.0 153 Siska
3 8.9 O 40.9 150 21.0 Siska
3 9.8 O 44.1 160 23.0 Siska
3 7.5 O 68.8 160 30.0 Siska
4 10.9 O 45.8 140 23.0 Siska
4 10.4 47.5 155 23.5 Denny T
4 8.6 39.5 155 23.5 Siska
4 10.1 43.9 140 23.5 Denny T
3 8.2 A 65.1 140 27.0 Denny T
3 9.4 52.1 155 25.0 Denny T
4 10.5 47.5 155 23.5 Denny T
4 10.5 O 55.2 160 25.0 Denny T
4 9.5 38.0 158 25.0 Hermansyah/KaPusKes
2 10.9 61.6 160 28.0 Hermansyah/KaPusKes
3 8.6 O 56.5 157 27.0 Siska
4 9.5 52.6 157 23.5 Hermansyah/KaPusKes
4 6.1 52.6 140 26.0
3 10.5 O 48.8 160 25.5 Hermansyah/KaPusKes
3 9.9 110/60 50.9 140 26.0 Siska
3 9.9 140/80 77.6 155 31.0 Siska
3 8.7 110/70 48.9 150 23.0 Siska
2 7.1 B 110/70 43.0 155 20.0 Jeremiah
4 8.9 O 120/80 47.3 21.0 Jeremiah
4 7.6 O 180/80 38.9 158 21.0 Jeremiah
3 8.5 130/90 52.8 160 25.0 Jeremiah
1 10.6 48.4 150 24.0 Umi/Guru SMPN 1
1 10.6 O 44.0 155 22.0 Umi/Guru SMPN 1
2 6.7 48.3 26.5 Umi/Guru SMPN 1
2 10.4 41.9 150 25.0 Umi/Guru SMPN 1
2 10.9 45.0 145 25.5 Umi/Guru SMPN 1
4 10.6 46.0 23.5 Umi/Guru SMPN 1
1 10.8 42.1 150 25.0 Umi/Guru SMPN 1
2 9.2 A 61.0 156 32.0 Umi/Guru SMPN 1
23. Visit 1 Tgl ( diberi 30 TTD) 24. Visit 2 Tgl 25. Sisa Obat V2 26. Jenis Obat Nama
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10/11/2018
10/11/2018
10/11/2018
10/11/2018
10/11/2018
10/11/2018
10/11/2018
10/11/2018
10/11/2018
10/11/2018
10/12/2018
10/12/2018
10/12/2018
10/12/2018
10/12/2018
10/12/2018
10/12/2018
10/12/2018
10/12/2018
10/12/2018
10/12/2018
10/16/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/24/2018
10/24/2018
10/24/2018
10/24/2018
10/24/2018
10/24/2018
10/24/2018
10/24/2018
10/24/2018
10/24/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/30/2018
10/30/2018
10/30/2018
10/30/2018
10/30/2018
10/30/2018
10/30/2018
10/30/2018
Alamat
SP4-Jalur 3
Atbo
Atbo
Pasaima
Pasaima
Pasaima
Pasaima
Atbo
Atbo
Atbo
Hokut
Hokut
Rosib
Rosib
Rosib
Beimes
Rosib
Idut
Iguriji 2
Beimes
SMKN 1 /SP5
SMKN 1/SP1-Jalur 4
SMKN 1 / Tahit Sundoro
SMKN 1/ SP5-Jalur 4
SMKN 1 / Kampung Lama
SMKN 1 / Tahit
SMKN 1 / Bintuni Komp. Pensiun
SMKN 1/SP2-Jalur 7
SMKN 1/SP3-Jalur 3
SMKN 1/SP3-Kamp.Horna Baru
SMKN 1/ Bintuni KM-2
SMKN 1/ Tinanteri-Muturi
SMKN 1/ Bintuni KM-2
Iguriji 1
Iguriji 1
Iguriji 1
Teluhwer
Teluhwer
Teluhwer
SMKN 1 / SP 5-Jalur 3
SMKN 1 / Tisai
SP1-Jalur 7 / Waraitama
SP1-Jalur 3/Waraitama
Iguriji 2
Iguriji 2
Iguriji 2
Iguriji 2
SP 5 /Tuasai
SP 5 / Tuasai
SP 5 / Tuasai
1.Lokasi 2. Kode 3. USIA 4. ETNIK 5. GAYA HIDUP 6. HAMIL
SP4-Jalur 3 MAN001 5 2 1 3
Atbo MAN002 2 2 3 5
Atbo MAN003 1 2 3 2
Pasaima MAN004 4 2 3 3
Pasaima MAN005 6 2 3 3
Pasaima MAN006 1 2 3 1
Pasaima MAN007 3 2 4 3
Atbo MAN008 1 2 1 1
Atbo MAN009 7 2 3 3
Atbo MAN010 2 2 1 1
Hokut MAN011 2 1 1 2
Hokut MAN012 2 1 1 2
Rosib MAN013 2 2 4 2
Rosib MAN014 2 2 4 2
Rosib MAN015 5 1 1 2
Beimes MAN016 3 2 1 2
Rosib MAN017 4 1 1 3
Idut MAN018 1 2 1 1
Iguriji 2 MAN019 2 2 3 2
Beimes MAN020 1 2 3 2
SMKN 1 /SP5 MAN021 1 2 1 1
SMKN 1/SP1-Jalur 4 MAN022 1 1 1 1
SMKN 1 / Tahit Sundoro MAN023 1 1 1 1
SMKN 1/ SP5-Jalur 4 MAN024 1 2 1 1
SMKN 1 / Kampung Lama MAN025 1 1 1 1
SMKN 1 / Tahit MAN026 1 2 1 1
SMKN 1 / Bintuni Komp. Pensiun MAN027 1 2 3 1
SMKN 1/SP2-Jalur 7 MAN028 1 1 1 1
SMKN 1/SP3-Jalur 3 MAN029 1 2 1 1
SMKN 1/SP3-Kamp.Horna Baru MAN030 1 2 3 1
SMKN 1/ Bintuni KM-2 MAN031 1 2 3 1
SMKN 1/ Tinanteri-Muturi MAN032 1 2 1 1
SMKN 1/ Bintuni KM-2 MAN033 1 2 3 1
Iguriji 1 MAN034 2 2 1 3
Iguriji 1 MAN035 4 2 1 2
Iguriji 1 MAN036 3 2 1 2
Teluhwer MAN037 1 2 1 1
Teluhwer MAN038 1 2 1 1
Teluhwer MAN039 1 2 3 1
SMKN 1 / SP 5-Jalur 3 MAN040 1 1 1 1
SMKN 1 / Tisai MAN041 1 2 1 1
SP1-Jalur 7 / Waraitama MAN042 2 2 3 2
SP1-Jalur 3/Waraitama MAN043 6 2 3 1
Iguriji 2 MAN044 2 2 3 2
Iguriji 2 MAN045 7 1 1 2
Iguriji 2 MAN046 4 1 3 2
Iguriji 2 MAN047 4 1 1 2
SP 5 /Tuasai MAN048 2 2 3 1
SP 5 / Tuasai MAN049 4 2 3 2
SP 5 / Tuasai MAN050 4 2 3 2

Kesimpulan Non Papua 24% 12

Asli Papua 76% 38

HB <5 6% 3
HB 5-10 52% 26
HB >10.0 42% 21

15-19th Remaja 1 46% 23

20-24th Dewasa 2 22% 11
25-29th Dewasa 3 6% 3
30-34th Dewasa 4 14% 7
35-39th Dewasa 5 4% 2
40-45th Dewasa 6 4% 2
46-49th Dewasa 7 4% 2
7. STATUS 8. ANAK 9.DWS SERUMAH 10. TEMPUH 11. PENDIDIKAN 12. KERJA 13. Penyakit
1 3 2 1 4 1 1
1 2 2 1 4 1 1
2 1 2 1 2 6 1
3 4 2 1 2 1 2
3 4 2 1 4 1 1
1 1 2 1 2 5 1
3 2 2 1 2 1 2
1 1 2 1 1 6 1
3 3 2 1 2 1 2
3 1 2 1 1 1 5
3 2 2 1 4 1 2
3 2 2 1 4 1 2
3 3 2 1 3 2 2
3 3 2 1 2 1 1
3 3 2 1 4 1 1
3 2 3 1 3 1 1
3 2 3 1 5 1 2
2 1 2 1 4 6 2
3 3 2 1 3 1 2
3 2 2 1 4 1 1
1 1 2 1 3 5 1
1 1 2 1 3 5 1
1 1 3 1 3 5 2
1 1 2 1 3 5 1
1 1 2 1 3 5 1
1 1 2 1 3 5 1
1 1 3 1 3 5 1
1 1 2 1 3 5 1
1 1 2 1 3 5 1
1 1 2 1 3 5 2
1 1 2 1 3 5 1
1 1 2 1 3 5 2
1 1 2 1 3 5 1
3 3 2 1 2 1 1
3 2 2 1 1 1 1
3 3 2 1 4 2 1
1 1 3 1 2 5 1
1 1 3 1 3 5 2
1 1 3 1 3 5 1
1 1 2 1 3 5 1
1 1 3 1 3 5 1
3 3 2 1 2 1 1
2 1 3 1 4 1 5
3 4 2 1 2 1 1
3 4 3 1 4 1 4
3 3 2 1 4 1 1
3 3 2 1 4 1 1
1 1 2 1 3 5 1
3 3 2 1 4 1 2
3 2 2 1 3 2 4
14. Jml TTD 15. Asal TTD 16. HB 17. Gol Darah 18. Tensi 19. BB 20. TB 21. LILA 22. Saksi
3 3 10.9 63.9 144 26.0 Intan/Yapima
3 3 7.6 A 46.5 22.5 Martna/Pustu
2 3 10.9 40.6 22.5 Martna/Pustu
3 3 10.9 110/60 >> >> Hamida/Pustu
3 3 8.4 O 100/70 53.8 154 24.0 Hamida/Pustu
2 3 8.9 41.8 Hamida/Pustu
3 3 8.9 O 98/83 65.0 145 28.0 Hamida/Pustu
1 4 7.7 47.0 150 Hamida/Pustu
2 3 10.8 100/70 77.0 153 35.0 Martna/Pustu
3 3 8.6 O 90/60 34.0 160 16.0 Martna/Pustu
2 3 10.6 B 90/50 38.0 160 21.0 Vina/Pustu
3 3 10.3 O 46.2 160 22.0 Vina/Pustu
3 3 7.0 O 140/80 66.2 150 26.0 Vina/Pustu
3 3 10.7 110/70 40.8 160 24.5 Vina/Pustu
3 3 10.4 B 110/70 40.0 145 25.5 Vina/Pustu
3 3 9.8 O 110/70 64.3 160 25.0 Vina/Pustu
3 3 10.4 O 123/80 58.6 152 27.5 Vina/Pustu
1 4 8.8 42.7 140 22.8 Martna/Pustu
2 3 5.5 47.7 140 22.2 Martna/Pustu
3 3 8.9 O 31.6 142 22.0 Vina/Pustu
2 3 10.9 43.3 145 24.0 Martna/Pustu
2 3 9.9 42.7 155 22.5 Martna/Pustu
2 3 10.7 O 46.4 140 23.5 Martna/Pustu
2 3 10.7 O 50.9 157 26.0 Martna/Pustu
2 3 10.8 46.4 142 23.5 Martna/Pustu
2 3 7.0 37.7 21.0 Martna/Pustu
2 3 7.5 54.1 155 26.5 Martna/Pustu
2 3 9.6 51.5 160 26.0 Martna/Pustu
2 3 10.6 51.2 152 27.0 Martna/Pustu
2 3 8.3 65.1 155 29.5 Martna/Pustu
2 3 9.3 O 47.1 150 25.5 Martna/Pustu
1 3 8.0 52.2 150 26.0 Martna/Pustu
1 3 9.4 A 54.9 150 27.5 Martna/Pustu
3 3 9.8 O 36.0 20.0 Hermayunita/Pustu
3 3 10.7 52.7 140 25.0 Hermayunita/Pustu
3 3 4.6 56.4 154 25.0 Hermayunita/Pustu
2 3 11.0 45.1 140 20.0 Hermayunita/Pustu
2 3 11.0 O 48.6 160 24.0 Hermayunita/Pustu
2 3 10.1 O 37.4 140 19.5 Hermayunita/Pustu
2 1 6.8 48.2 167 24.0 Martna/Pustu
2 3 9.0 O 54.0 155 25.5 Martna/Pustu
3 3 11.0 O 38.0 145 25.0 Martna/Pustu
2 3 3.4 O 52.0 147 23.5 Martna/Pustu
3 3 10.3 O 53.7 120 28.7 Martna/Pustu
3 3 10.3 52.3 26.0 Martna/Pustu
3 3 3.1 O 47.4 160 23.3 Martna/Pustu
3 3 9.9 O 67.4 149 27.5 Martna/Pustu
2 3 7.5 O 57.0 160 26.5 Martna/Pustu
3 3 5.6 B 62.7 160 30.0 Martna/Pustu
3 3 9.4 49.9 145 25.5 Martna/Pustu
Intan/Yapima
Martna/Pustu
Martna/Pustu
Hamida/Pustu
Hamida/Pustu
Hamida/Pustu
Hamida/Pustu
Hamida/Pustu
Martna/Pustu
Martna/Pustu
Vina/Pustu
Vina/Pustu
Vina/Pustu
Vina/Pustu
Vina/Pustu
Vina/Pustu
Vina/Pustu
Martna/Pustu
Martna/Pustu
Vina/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Hermayunita/Pustu
Hermayunita/Pustu
Hermayunita/Pustu
Hermayunita/Pustu
Hermayunita/Pustu
Hermayunita/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
Martna/Pustu
1.Lokasi 2. Kode 3. USIA 4. ETNIK 5. GAYA HIDUP 6. HAMIL 7. STATUS
Kampung Nelayan BIN051 2 1 1 3 3
KM 5-Gang 3 BIN052 2 1 1 3 3
SMAK/ KM 2-Samping Poli Misi BIN053 1 2 3 1 1
SMAK/ Asrama Putri KM 2 BIN054 1 2 3 1 1
SMAK / Sibena Raya BIN055 1 1 1 1 1
SMAK/ Tahit-jln masuk Bengkel BIN056 1 2 3 1 1
SMAK/Belakang Polsek BIN057 1 1 2 1 1
SMAK St.Arnoldus Jansen BIN058 1 2 3 1 1
SMAK / KM 4 BIN059 1 2 3 1 1
SMAK / KM 2 Depot Sartka BIN060 1 1 1 1 1
SMAK / KM 2 Asrama Putri BIN061 1 1 1 1 1
SMAK / KM 2 Asrama Putri BIN062 1 2 3 1 1
SMAK St.Arnoldus Jansen/KM 4 BIN063 1 1 1 1 1
SMAK / KM 2 Jalur Masuk Ke 1 BIN064 1 2 3 1 1
SMAK / KM 2 Jalur Masuk Ke 1 BIN065 3 1 1 1 3
SMAK / Wesiri KM 5 BIN066 5 1 1 2 3
SMAN 1 / KM 5 BIN067 1 2 3 1 1
SMAN 1/Kam.Pamong Praja BIN068 1 2 3 1 1
SMAN 1/Komp. Pensiunan BIN069 1 2 3 1 1
SMAN 1/Komp.Pamong Praja BIN070 1 2 3 1 1
SMAN 1/ KM 4 blkg hotel stengkol BIN071 1 2 3 1 1
SMAN 1 /Tahit BIN072 1 1 1 1 1
SMAN 1 /Tahit BIN073 1 1 1 1 1
SMAN 1 /Komp. Nusantara BIN074 1 1 1 1 1
SMAN 1/ KM 4 BIN075 1 1 1 1 1
SMAN 1/Kali Kodok BIN076 1 1 1 1 1
SMAN 1/ KM 5 BIN077 1 1 1 1 1
SMAN 1/ Kamp. Lama BIN078 1 1 1 1 1
SMAN 1/ Bina Desa BIN079 1 1 1 1 1
SMAN 1/ Pasar Sentral BIN080 1 1 1 1 1
SMAN 1/ Masuy BIN081 1 2 3 1 1
SMAN 1/ Aspol BIN082 1 2 3 1 1
SMAN 1/ KM 4 BIN083 1 2 3 1 1
SMAN 1/ ASPOL BIN084 1 2 3 1 1
SMAN 1/ Tahit BIN085 1 2 3 1 1
SMAN 1/ KM 4 BIN086 1 2 3 1 1
SMAN San/ GOR BIN087 1 2 3 1 1
SMAN San / Awarepi BIN088 1 2 3 1 1
SMAN San/Kampung Lama BIN089 1 2 3 1 1
SMAN San/ Kali kodok BIN090 5 1 1 1 3
SMAN San/ Binadesa jl. SMA YPPK BIN091 1 2 3 1 1
SMAN San / KPPD BIN092 1 2 3 1 1
SMAN San/ Awarepi BIN093 1 2 3 1 1
SMAN San/KPPD BIN094 1 2 3 1 1
SMAN San/Kampung Lama BIN095 1 2 3 1 1
SMP St.Monica/KM 2 BIN096 1 2 3 1 1
SMP St.Monica/KM 2 BIN097 1 2 1 1 1
SMP St.Monica/KM 2 BIN098 1 2 1 1 1
SMP St.Monica/KM 5 BIN099 1 2 3 1 1
SMP St. Monica / KM 5 BIN100 1 2 3 1 1
SMPN 1/Kampung Lama BIN156 1 1 1 1 1
SMPN 1/Kali Kodok BIN157 1 1 1 1 1
SMPN 1/Jl.Delipus Bau BIN158 1 2 3 1 1
SMPN 1/ Tahit BIN159 1 2 3 1 1
SMPN 1/ Pasar Central BIN160 1 1 1 1 1
SMPN 1/Tahit BIN161 1 2 3 1 1
SMPN 1/Pant Asuhan BIN162 1 2 3 1 1
SMPN 1/Jl.H.Siregar Tahit BIN163 3 1 1 1 1
8. ANAK 9.DWS SERUMAH 10. TEMPUH 11. PENDIDIKAN 12. KERJA 13. Penyakit 14. Jml TTD 15. Asal TTD
3 2 1 3 1 1 3 3
3 2 1 4 1 2 2 3
1 2 1 3 5 1 1 4
1 1 1 3 5 1 1 4
1 1 1 3 5 2 2 3
1 3 1 3 5 2 2 3
1 3 1 3 5 1 1 1
1 3 1 3 5 5 2 2
1 2 1 3 5 2 1 1
1 2 1 3 5 1 2 2
1 1 1 3 5 4 1 4
1 1 1 3 5 1 2 2
1 2 1 3 5 4 1 4
1 1 1 5 5 2 1 4
1 1 1 4 3 1 2 1
3 1 2 5 3 1 2 1
1 3 1 3 5 3 2 3
1 2 1 3 5 5 1 4
1 2 1 3 5 4 1 4
1 2 1 3 5 4 1 4
1 2 1 3 5 1 2 2
1 3 1 3 5 1 1 4
1 2 1 3 5 1 1 4
1 2 1 3 5 1 1 4
1 3 1 3 5 1 1 4
1 2 1 3 5 1 2 1
1 3 1 3 5 1 1 4
1 1 1 3 5 1 1 4
1 2 1 3 5 1 1 4
1 2 1 3 5 1 1 4
1 3 1 3 5 5 1 1
1 2 1 3 5 2 1 4
1 2 1 3 5 2 1 4
1 3 1 3 5 2 1 4
1 2 1 3 5 1 2 3
1 2 1 3 5 1 1 3
1 3 1 3 5 4 2 3
1 2 1 3 5 1 2 2
1 3 1 3 5 2 1 4
1 1 1 5 4 1 2 1
1 2 1 3 5 1 2 2
1 1 1 3 5 5 1 4
1 3 1 3 5 1 2 2
1 2 1 3 5 2 2 3
1 3 1 3 5 2 2 2
1 3 1 2 5 1 1 4
1 2 1 2 5 1 2 2
1 1 1 2 5 1 2 2
1 1 1 2 5 1 2 1
1 3 1 2 5 1 1 4
1 2 1 2 5 1 1 1
1 2 1 2 5 3 1 1
1 3 1 2 5 1 2 2
1 3 1 2 5 1 2 2
1 2 1 2 5 1 2 2
1 3 1 2 5 2 1 4
1 3 1 2 5 1 2 1
1 3 1 5 3 2 2 2
16. HB 17. Gol Darah 18. Tensi 19. BB 20. TB 21. LILA 22. Saksi
9.4 O 45.0 145 25.5
9.4 50.0 160 22.0
9.4 47.0 150 25.0 Marike A/Puskes
8.7 53.0 155 26.5 Marike A/Puskes
8.3 O 48.0 160 24.5 Marike A/Puskes
9.5 38.0 140 32.0 Marike A/Puskes
9.2 50.0 145 25.0 Marike A/Puskes
10.9 O 50.0 165 23.5 Marike A/Puskes
9.8 49.0 22.5 Marike A/Puskes
8.2 O 54.0 165 24.0 Marike A/Puskes
8.9 O 44.0 156 22.5 Marike A/Puskes
8.8 B 50.0 150 25.0 Marike A/Puskes
10.3 47.0 24.0 Marike A/Puskes
9.9 48.0 156 27.0 Marike A/Puskes
8.7 B 45.0 155 24.0 Marike A/Puskes
10.8 B 50.0 150 27.5 Marike A/Puskes
7.9 43.5 160 22.0 Marike A/Puskes
9.7 50.0 155 24.0 Marike A/Puskes
7.0 46.2 150 24.5 Marike A/Puskes
6.9 O 47.0 152 26.5 Marike A/Puskes
6.8 41.3 140 22.0 Marike A/Puskes
7.9 O 45.2 145 24.0 Marike A/Puskes
8.5 AB 43.1 157 23.0 Marike A/Puskes
8.3 O 56.7 160 27.0 Marike A/Puskes
9.9 49.4 160 30.0 Marike A/Puskes
7.4 58.0 160 27.0 Marike A/Puskes
7.7 44.3 150 27.0 Marike A/Puskes
10.0 O 49.5 160 23.5 Marike A/Puskes
10.4 39.5 155 21.5 Marike A/Puskes
10.4 51.0 160 25.0 Marike A/Puskes
5.2 O 54.9 157 25.0 Marike A/Puskes
10.0 42.0 142 25.0 Marike A/Puskes
8.1 O 41.0 120 22.0 Marike A/Puskes
10.5 B 46.8 150 24.0 Marike A/Puskes
10.4 O 58.8 170 26.0 Marike A/Puskes
8.9 B 42.7 148 23.5 Marike A/Puskes
10.9 O 52.7 155 27.5 Marike A/Puskes
9.4 AB 63.3 26.0 Marike A/Puskes
9.7 40.9 22.0 Marike A/Puskes
9.4 A 52.0 29.0 Marike A/Puskes
9.5 52.7 158 25.5 Marike A/Puskes
4.4 44.1 145 23.0 Marike A/Puskes
6.7 45.2 152 26.0 Marike A/Puskes
5.9 48.4 154 24.0 Marike A/Puskes
5.0 50.1 150 25.0 Marike A/Puskes
8.4 40.0 140 21.0 Marike A/Puskes
10.7 48.0 150 24.5 Marike A/Puskes
8.0 O 40.0 160 21.0 Marike A/Puskes
9.0 52.0 140 26.0 Marike A/Puskes
8.1 45.0 153 21.5 Marike A/Puskes
10.6 48.4 150 24.0 Umi/Guru SMPN 1
10.6 O 44.0 155 22.0 Umi/Guru SMPN 1
6.7 48.3 26.5 Umi/Guru SMPN 1
10.4 41.9 150 25.0 Umi/Guru SMPN 1
10.9 45.0 145 25.5 Umi/Guru SMPN 1
10.6 46.0 23.5 Umi/Guru SMPN 1
10.8 42.1 150 25.0 Umi/Guru SMPN 1
9.2 A 61.0 156 32.0 Umi/Guru SMPN 1
23. Visit 1 Tgl ( diberi 30 TTD) 24. Visit 2 Tgl 25. Sisa Obat V2 26. Jenis Obat Nama
10/16/2018
10/30/2018
10/30/2018
10/30/2018
10/30/2018
10/30/2018
10/30/2018
10/30/2018
10/30/2018
Alamat
1.Lokasi 2. Kode 3. USIA 4. ETNIK 5. GAYA HIDUP 6. HAMIL 7. STATUS
Kaitaro-Sara/SMPN 1 KAI101 1 2 3 1 1
Kaitaro-Sara/SMPN 1 KAI102 1 2 3 1 1
Kaitaro/Bidan Mama Bial KAI103 3 1 1 2 3
Kaitaro/Bumil KAI104 4 2 3 3 3
Kaitaro-Sara KAI105 4 2 3 3 3
Kaitaro-Furere KAI106 6 2 3 2 3
Kaitaro/SMAN 1 KAI107 1 2 3 1 1
Kaitaro/SMAN 1 KAI108 1 2 3 1 1
Kaitaro/SMAN 1 KAI109 1 2 3 1 1
Kaitaro/SMAN 1 KAI110 2 2 3 1 1
Kaitaro-Sara KAI111 6 2 1 2 3
Kaitaro-Sara KAI112 4 2 3 1 3
8. ANAK 9.DWS SERUMAH 10. TEMPUH 11. PENDIDIKAN 12. KERJA 13. Penyakit 14. Jml TTD 15. Asal TTD
1 3 1 2 5 1 2 3
1 3 1 2 5 1 2 3
3 3 1 5 4 1 3 3
3 1 1 4 1 1 3 3
4 2 1 4 1 1 3 3
4 3 2 2 1 2 2 3
1 1 1 3 5 1 2 3
1 2 1 3 5 1 2 3
1 2 1 3 5 1 2 3
1 2 1 3 5 1 2 3
4 2 1 3 1 1 3 3
1 2 1 5 1 5 2 3
16. HB 17. Gol Darah 18. Tensi 19. BB 20. TB 21. LILA 22. Saksi
10.7 101/55 42.0 150 26.0 Sr. Umi/Puskesmas
7.9 120/70 51.0 156 23.5 Sr. Umi/Puskesmas
10.7 110/70 43.0 158 23.0 Sr. Dilla/Puskesmas
9.7 A 100/70 74.3 160 27.4 Sr. Dilla/Puskesmas
9.7 90/60 65.0 160 27.0 Sr. Dilla/Puskesmas
8.0 100/80 54.4 146 25.0 Sr. Umi/Puskesmas
10.0 67.4 157 27.0 Sr. Dilla/Puskesmas
9.4 47.8 150 25.0 Sr. Dilla/Puskesmas
10.6 64.3 158 28.0 Ny.Stn Tatuta
10.6 52.4 154 27.0 Ny.Margaretha
9.2 45.7 155 26.0 Sr. Dilla/Puskesmas
6.8 55.0 153 26.0 Sr. Dilla/Puskesmas
23. Visit 1 Tgl ( diberi 30 TTD) 24. Visit 2 Tgl 25. Sisa Obat V2 26. Jenis Obat Nama
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
10/18/2018
Alamat
1.Lokasi 2. Kode 3. USIA 4. ETNIK 5. GAYA HIDUP 6. HAMIL 7. STATUS
Kampung Tembuni TEM123 5 2 4 2 2
Kampung Tembuni TEM124 3 2 3 2 3
Kampung Tembuni TEM125 5 2 1 2 3
Kampung Tembuni TEM126 5 2 4 2 3
Kampung Tembuni TEM127 4 2 3 2 3
Kampung Tembuni TEM128 2 2 3 2 3
Kampung Tembuni TEM129 5 2 4 2 3
Kampung Tembuni TEM149 7 2 3 2 3
Kampung Tembuni TEM150 2 2 3 1 1
Kampung Tembuni TEM151 1 2 3 1 1
Kampung Tembuni TEM152 1 2 3 1 1
Kampung Tembuni TEM153 2 1 1 1 1
Kampung Tembuni TEM154 3 2 3 2 3
Kampung Tembuni TEM155 4 2 1 2 3
8. ANAK 9.DWS SERUMAH 10. TEMPUH 11. PENDIDIKAN 12. KERJA 13. Penyakit 14. Jml TTD 15. Asal TTD
4 2 1 2 2 1 2 3
3 2 1 1 2 1 2 3
4 3 1 1 1 2 2 3
4 2 1 1 2 2 2 3
4 2 1 1 2 1 2 3
2 2 1 4 1 1 2 3
4 3 1 1 2 1 2 3
2 3 1 1 2 1 3 3
1 3 1 4 6 2 2 3
1 3 1 3 5 2 2 3
1 2 1 3 5 2 2 2
1 1 1 5 4 2 1 4
3 2 1 4 1 2 1 4
4 3 1 1 1 2 3 3
16. HB 17. Gol Darah 18. Tensi 19. BB 20. TB 21. LILA 22. Saksi
8.9 33.7 139 22.3 Ratna Sari/Puskes Gizi
10.1 42.8 145 22.5 Tiara Tangke Allo
10.2 47.9 147 24.0 Siska
7.4 46.3 145 23.0 Tiara Tangke Allo
10.0 60.3 159 25.2 Tiara Tangke Allo
10.1 47.5 151 24.0 Tiara Tangke Allo
8.8 42.0 148 23.6 Ratna Sari/Puskes Gizi
9.9 110/60 50.9 140 26.0 Siska
9.9 140/80 77.6 155 31.0 Siska
8.7 110/70 48.9 150 23.0 Siska
7.1 B 110/70 43.0 155 20.0 Jeremiah
8.9 O 120/80 47.3 21.0 Jeremiah
7.6 O 180/80 38.9 158 21.0 Jeremiah
8.5 130/90 52.8 160 25.0 Jeremiah
23. Visit 1 Tgl ( diberi 30 TTD) 24. Visit 2 Tgl 25. Sisa Obat V2 26. Jenis Obat Nama
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
Alamat
1.Lokasi 2. Kode 3. USIA 4. ETNIK 5. GAYA HIDUP 6. HAMIL 7. STATUS
Kampung Yakora MEY130 3 2 3 2 3
Meyado MEY131 2 2 3 2 3
Meyado MEY132 1 2 3 2 3
Meyado MEY133 4 1 3 2 3
Meyado MEY134 4 2 3 2 3
Meyado MEY135 1 2 3 1 1
Meyado MEY136 1 2 3 1 1
Meyado MEY137 1 2 3 1 1
Meyado MEY138 5 2 3 2 3
Meyado MEY139 3 1 1 2 3
Meyado MEY140 5 1 1 2 3
Meyado MEY141 5 1 1 2 3
Meyado MEY142 4 2 3 1 3
Meyado MEY143 4 2 3 2 3
Meyado MEY144 7 1 1 2 3
Meyado MEY145 3 1 1 3 3
Meyado MEY146 1 1 4 1 1
Meyado MEY147 1 2 3 1 1
Meyado MEY148 2 2 3 2 3
8. ANAK 9.DWS SERUMAH 10. TEMPUH 11. PENDIDIKAN 12. KERJA 13. Penyakit 14. Jml TTD 15. Asal TTD
3 3 3 2 1 1 1 4
2 2 1 5 3 2 1 1
2 2 1 4 1 2 1 3
3 4 1 4 1 5 3 3
3 3 1 4 1 5 3 3
1 3 1 2 5 5 1 4
1 2 1 3 5 5 1 4
1 3 1 2 5 1 1 4
3 2 1 2 1 2 1 4
3 3 1 3 1 2 3 3
4 2 1 3 1 2 3 3
2 3 1 2 1 1 1 4
1 2 1 4 4 5 1 4
4 3 1 2 1 1 1 4
4 2 1 2 1 2 2 2
1 2 1 5 3 1 3 3
1 3 1 3 5 2 1 4
1 2 1 3 5 2 1 4
2 2 1 1 1 2 3 3
16. HB 17. Gol Darah 18. Tensi 19. BB 20. TB 21. LILA 22. Saksi
10.2 56.2 160 Theresia D K
8.7 O 60.0 153 Siska
8.9 O 40.9 150 21.0 Siska
9.8 O 44.1 160 23.0 Siska
7.5 O 68.8 160 30.0 Siska
10.9 O 45.8 140 23.0 Siska
10.4 47.5 155 23.5 Denny T
8.6 39.5 155 23.5 Siska
10.1 43.9 140 23.5 Denny T
8.2 A 65.1 140 27.0 Denny T
9.4 52.1 155 25.0 Denny T
10.5 47.5 155 23.5 Denny T
10.5 O 55.2 160 25.0 Denny T
9.5 38.0 158 25.0 Hermansyah/KaPusKes
10.9 61.6 160 28.0 Hermansyah/KaPusKes
8.6 O 56.5 157 27.0 Siska
9.5 52.6 157 23.5 Hermansyah/KaPusKes
6.1 52.6 140 26.0
10.5 O 48.8 160 25.5 Hermansyah/KaPusKes
23. Visit 1 Tgl ( diberi 30 TTD) 24. Visit 2 Tgl 25. Sisa Obat V2 26. Jenis Obat Nama
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/27/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
10/28/2018
Alamat